大龄儿童及青少年弱视治疗的临床意义

Clinical significance of treatment of amblyopia in older children and adolescents

目的:初步观察并探讨综合疗法治疗大龄儿童及青少年弱视的临床效果。方法:回顾性调查总结2005-08/2009-01在我院接受遮盖、红光闪烁、后像、光刷、精细作业、激光和心理干预等方法进行弱视治疗的大龄儿童及青少年患者90例148眼,其中8～10岁者114眼,11～13岁者24眼,14～16岁者10眼,治疗时间30～750(平均163)d。结果:眼视力较治疗前提高2行或2行以上,治疗有效率达93.3%,其中有98眼矫正视力>0.9,基本治愈率为66.2%。8～10岁组与11～13岁及14～16岁组之间疗效比较差异显著(P<0.05)。结论:使用综合疗法规范治疗大龄儿童及青少年弱视疗效肯定,特别是屈光不正的中心注视弱视患者经治疗可建立良好的视功能。

AIM： To observe and discuss the therapeutic efficacy of combining therapy for amblyopia in adolescents and older children. METHODS： A total of 90 cases （148 eyes） were randomly selected from the patients, which were treated with occlusion therapy, red light glitter, photogene, haidinger, meticulous homework, laser therapy and mind-cure in our hospital from August 2005 to January 2009.The 8-10 age group was of 114 eyes,11-13 age group of 24 eyes, and 14-16 age group of 10 eyes. The course of treatment was 30-750 days, the mean was 163 days. The data were analyzed retrospectively. RESULTS-Vision had raised 2 lines or more after the treatment, the effective rate was 93.3%. 98 eyes＇ corrected visual acuity arrived at 0.9, The recovery rate was 66.2%, the therapeutic efficacy of 8-10 age group was significantly different with that of 11-13 age group and 14-16 age group. CONCLUSION： The therapeutic efficacy of combining therapy for amblyopia in hobbledehoy and older children is affirmed, especially on establishing good visual function after treatment for central fixation amblyopia with ametropia.